CIGNA Corp. and the TriWest Healthcare Alliance are the latest carriers to announce special arrangements for individuals affected by the Midwestern flooding.
CIGNA, Philadelphia, says it will make the following adjustments, retroactive to June 9, for CIGNA members living in Indiana and Iowa counties designated as disaster areas:
- Any 30-day prescription refill time restrictions will be waived.
- Precertification requirements will be waived.
- In-network benefits will be paid for medical services, even if a member must see an out-of-network physician or other provider.
- Any time limits, including deadlines for appeals and claim submissions, will be extended for 60 days.
- Members of dental health maintenance organization plans can get emergency and urgent dental care without prior approval, and will not be required to get referrals for specialty care.
- Out-of-network fees will be waived for members of dental preferred provider organization plans.
- The grace period for employer premium payments to CIGNA will be extended 60 additional days, to a total of 91 days.
Meanwhile, TriWest, Phoenix, which serves members of the National Guard living in Iowa and Missouri and their family members, says it will let beneficiaries refill prescriptions at any TriCare retail network pharmacy. Beneficiaries who used a chain store pharmacy can get medicine from another store in the same chain.
TriWest notes that the hospitals and clinics in Iowa and Missouri that accept TriCare remain open.
Displaced beneficiaries in the TriCare fee-for-service program can see any TriCare provider.
Beneficiaries in the TriCare managed care program should call TriWest to transfer coverage to their new locations, TriWest says.
More information is available at Document Link
Earlier this week, New York Life Insurance Company, New York, and Aetna Inc., Hartford, announced their efforts to help customers affected by the flooding.
New York Life says it will be relaxing premium payment requirements for individuals affected by the floods.
Aetna says it will “adjust its policies to comply with any local, state or federal disaster executive orders or regulations issued related to these catastrophic events.”
Aetna is extending claim filing deadlines for life, disability and long term care insurance policies for customers affected by the Midwest flooding and also extending deadlines for related procedures, such as procedures for collecting evidence of insurability.
Aetna is letting health plan members affected by the flooding “seek urgent or emergency care anywhere, as needed,” Aetna says.
Members who cannot see their usual providers can get non-emergency care out of network.
Aetna members in areas affected by the Midwest flooding can refill prescriptions early, get mail-order prescriptions delivered to an alternate location, or refill a prescription that may have been lost, damaged or destroyed by the flooding.
Aetna also is offering employee assistance program services to all members affected by the flooding, even if their employers do not normally offer Aetna EAP services.